Indications and impact of cesarean at University Hospital Hernando Moncaleano Perdomo in Neiva

Abstract

Cesarean section rate in Colombia has increased over the last years. Currently, cesarean deliveries represent about 28% of births, which is over the recommended rate by OMS (15%). The highest incidence is in San Andres, Atlantic Coast and Bogota, Medellin and Cali. Objective. To determine the incidence of cesarean section and know its main indications at University Hospital in Neiva. Materials and Methods. Descriptive, retrospective observational study. It was included women’s records who had vaginal birth or cesarean delivery between January 2011 and December 2012. Results. In 2011 it was recorded 1579 births, with an incidence of cesarean by 39%. Main obstetric indications were: previous cesarean section, associated hypertensive disorders, failed induction of labor, cephalopelvic disproportion and dystocia presentation. By 2012 it was recorded 2122 births, with a cesarean incidence of 39%. Among obstetric indications of cesarean are: previous cesarean section, failed induction, hypertensive disorders associated with pregnancy, cephalopelvic disproportion, acute fetal distress among others. Conclusions. Cesarean births have significantly increased in comparison to previous years, cesarean section rate in the analyzed period is by 39%, and main cause of this procedure is previous cesarean section followed by failed induction.